TY - JOUR
T1 - Protocol and baseline data from the Inala Chronic Disease Management Service evaluation study
T2 - A health services intervention study for diabetes care
AU - Askew, Deborah A.
AU - Jackson, Claire L.
AU - Ware, Robert S.
AU - Russell, Anthony
N1 - Funding Information:
We wish to thank the patients of the Inala Chronic Disease Management Service and the Princess Alexandra Hospital Specialist Diabetes Outpatient Clinic who participated in this study. We also wish to thank the clinical, administrative and managerial staff of the ICDMS, and Inala Primary Care where the ICDMS was co-located. Thanks also to the members of the Advisory and Evaluation Committees and the Steering Group for support and advice throughout the establishment and implementation of the ICDMS. Thanks also to the local GPs who supported the ICDMS by agreeing for their patients to be transferred, and for participating in the training and upskilling activities. This study was supported by Innovation Funding from Queensland Government Action Plan and the Clinical Practice Improvement Centre (CPIC), Queensland Health. The funding source had no involvement in study design, data collection, manuscript preparation or the decision to submit this paper for publication.
PY - 2010/5/24
Y1 - 2010/5/24
N2 - Background. Type 2 Diabetes Mellitus is one of the most disabling chronic conditions worldwide, resulting in significant human, social and economic costs and placing huge demands on health care systems. The Inala Chronic Disease Management Service aims to improve the efficiency and effectiveness of care for patients with type 2 diabetes who have been referred by their general practitioner to a specialist diabetes outpatient clinic. Care is provided by a multidisciplinary, integrated team consisting of an endocrinologist, diabetes nurse educators, General Practitioner Clinical Fellows (general practitioners who have undertaken focussed post-graduate training in complex diabetes care), and allied health personnel (a dietitian, podiatrist and psychologist). Methods/Design. Using a geographical control, this evaluation study tests the impact of this model of diabetes care provided by the service on patient outcomes compared to usual care provided at the specialist diabetes outpatient clinic. Data collection at baseline, 6 and 12-months will compare the primary outcome (glycaemic control) and secondary outcomes (serum lipid profile, blood pressure, physical activity, smoking status, quality of life, diabetes self-efficacy and cost-effectiveness). Discussion. This model of diabetes care combines the patient focus and holistic care valued by the primary care sector with the specialised knowledge and skills of hospital diabetes care. Our study will provide empirical evidence about the clinical effectiveness of this model of care. Trial registration. Australian New Zealand Clinical Trials Registry ACTRN12608000010392.
AB - Background. Type 2 Diabetes Mellitus is one of the most disabling chronic conditions worldwide, resulting in significant human, social and economic costs and placing huge demands on health care systems. The Inala Chronic Disease Management Service aims to improve the efficiency and effectiveness of care for patients with type 2 diabetes who have been referred by their general practitioner to a specialist diabetes outpatient clinic. Care is provided by a multidisciplinary, integrated team consisting of an endocrinologist, diabetes nurse educators, General Practitioner Clinical Fellows (general practitioners who have undertaken focussed post-graduate training in complex diabetes care), and allied health personnel (a dietitian, podiatrist and psychologist). Methods/Design. Using a geographical control, this evaluation study tests the impact of this model of diabetes care provided by the service on patient outcomes compared to usual care provided at the specialist diabetes outpatient clinic. Data collection at baseline, 6 and 12-months will compare the primary outcome (glycaemic control) and secondary outcomes (serum lipid profile, blood pressure, physical activity, smoking status, quality of life, diabetes self-efficacy and cost-effectiveness). Discussion. This model of diabetes care combines the patient focus and holistic care valued by the primary care sector with the specialised knowledge and skills of hospital diabetes care. Our study will provide empirical evidence about the clinical effectiveness of this model of care. Trial registration. Australian New Zealand Clinical Trials Registry ACTRN12608000010392.
UR - https://www.scopus.com/pages/publications/77953838337
U2 - 10.1186/1472-6963-10-134
DO - 10.1186/1472-6963-10-134
M3 - Article
C2 - 20492731
AN - SCOPUS:77953838337
SN - 1472-6963
VL - 10
JO - BMC Health Services Research
JF - BMC Health Services Research
M1 - 134
ER -
SDG 3 Good Health and Well-being